| Valley Teen Ranch | |
|
10641 Road 35 Madera CA 93636 | |
| (559) 437-1444 | |
| Not Available |
| Full Name | Valley Teen Ranch |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10641 Road 35, Madera, California |
| Authorized Official Name and Position | Andrea Michele Evans (CEO) |
| Authorized Official Contact | 5594371144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Teen Ranch 2610 W Shaw Ln Ste 105 Fresno CA 93711-2775 Ph: (559) 437-1144 | Valley Teen Ranch 10641 Road 35 Madera CA 93636 Ph: (559) 437-1444 |
| NPI Number | 1730851320 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/01/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730851320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Holy Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1834 Howard Rd Ste F, Madera, CA 93637 Phone: 559-706-8641 | |
Network Provider Lcsw 2021 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Bhs 7th Street Sud Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Network Provider Mix 2023 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Fresno Cournty West County Regional Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 S Madera Ave, Suite 103, Madera, CA 93630 Phone: 559-846-7500 Fax: 559-846-5892 | |
Network Provider Phd 2020 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E 7th St, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-675-4999 | |
Behavioral Health Services Alcohol Drug Progam Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple St Ste 108, Madera, CA 93637 Phone: 559-675-4515 |